The Journal of Ambulatory Care Management This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Rob Restuccia: A Testimonial
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations Source Type: research

Then and Now
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations Source Type: research

Time to Forge a Uniquely American Solution Born of Our Own Strengths and Diversity
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations Source Type: research

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations: From the Editor Source Type: research

Insights From Organized Crime for Disorganized Health Care
During college and medical school, the author's summer employment acquainted him with members of organized crime families. After a full career as a primary care clinician and geriatrician with research on improving health care delivery, the author opines that several insights from organized crime should be of interest to health care professionals: (1) don't damage the host; (2) protect the brand; and (3) lead necessary adaption. From these insights, the author presents symptoms of failure evidenced by the US health care system, followed by several adaptations that would reduce the system's costs, improve its image, and add...
Source: The Journal of Ambulatory Care Management - February 28, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

The Effects of Community Health Center Care on Medical Expenditures for Children and Adults: Propensity Score Analyses
This study examines whether community health center (CHC) patients have lower medical expenditures. Using 2011-2012 Medical Expenditure Panel Survey data, propensity score methods are used to compare annual expenditures for adults and children receiving at least half their ambulatory care at CHCs versus those who did not. For children, CHC use was associated with 35.3% lower total medical expenditures ($627), 40.0% lower ambulatory expenditures ($279), and 49.1% lower prescription drug expenditures ($157) (all Ps (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 28, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

Evaluating a Community-Placed and Clinically Integrated Community Health Worker Program: A Realist Approach
Community health worker (CHW) programs can act as bridges between patients and health care teams, but the complexity and variability of program components and outcomes make them difficult to evaluate. This evaluation used a realist approach to identify underlying mechanisms and contextual factors associated with successful implementation of a community-placed CHW program affiliated with a primary care practice in the Midwest United States. The analysis identified mechanisms by which stakeholders built trust, self-efficacy, and empowerment to improve patient-centered outcomes and experiences. It also identified conditions t...
Source: The Journal of Ambulatory Care Management - February 28, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

Using Electronic Clinical Decision Support in Patient-Centered Medical Homes to Improve Management of Diabetes in Primary Care: The DECIDE Study
This prospective, randomized, real-world study aimed to examine the impact of electronic health record–based clinical decision support (CDS) tools on the management of diabetes in small- to medium-sized primary care practices participating in Delaware's patient-centered medical home project. Overall, use of CDS systems was associated with greater reductions from baseline in hemoglobin A1c and low-density lipoprotein cholesterol, and more patients achieving treatment goals. Physicians and staff reported that the CDS toolkit empowered them to be more involved in clinical decision-making, thereby helping to improve diabetes...
Source: The Journal of Ambulatory Care Management - February 28, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

Experience of Family Physicians in Practice Transformation Networks
To help health care practices transition away from fee-for-service reimbursement and toward value-based payment, the Transforming Clinical Practice Initiative was launched in October 2015. It was designed to provide clinicians support through peer-based Practice Transformation Networks (PTNs). A group of American Board of Family Medicine board-certified family physicians enrolled in PTNs described their expectations of and experiences with PTN participation; we analyzed open-text comments. Physicians expected and experienced PTN support in informatics and data, team building, and workflow and care coordination; however, ex...
Source: The Journal of Ambulatory Care Management - February 28, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

New Approaches to Both Health Care Delivery and Payment Systems Are Needed in Rural Areas
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 28, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

Federally Qualified Health Centers as Partners in Rural Health Care Delivery Reimagined
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 28, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

Access to Affordable, High-Quality Health Insurance for Rural Residents and Its Impact on Their Health and on Rural Hospitals
This article highlights the major challenges in rural health care and specifies financial and delivery policy options that can strengthen rural health care. In particular, this article suggests a return to a prepaid approach within the umbrella organizational framework of what we term “rural convening entities.” These entities would serve as the control of telehealth hubs for the communities they serve. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 28, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - February 28, 2019 Category: Emergency Medicine Tags: From the Editor Source Type: research

Three Different Meanings of the Words “Public Option”
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - December 1, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research

A Value-Based Payment Model for Palliative Care: An Analysis of Savings and Return on Investment
Five percent of the US population accounts for 50% of total health expenditures. This “5%” problem requires moderating Medicare cost trends. SPARK, a community-based palliative care program, focused on its costliest Medicare Advantage patients. This cohort's projected costs were 280% higher than average beneficiaries, based on Medicare's risk model. Despite significant losses during enrollees' first year, a positive 5.1% ROI was found over the program's 4 years when stop-loss insurance payments were included. SPARK demonstrates that a high-quality, community-based palliative care program can be financially self-sustain...
Source: The Journal of Ambulatory Care Management - December 1, 2018 Category: Emergency Medicine Tags: Original Articles Source Type: research